School of Nursing, University of Connecticut, Storrs, CT.
School of Nursing, Columbia University, New York, NY.
Am J Infect Control. 2023 Feb;51(2):159-162. doi: 10.1016/j.ajic.2022.06.002. Epub 2022 Jun 10.
Antibiotics are commonly used in the nursing home (NH) setting. Little is known of NH residents' perceptions and experiences regarding antibiotic use.
This was a qualitative descriptive study. We conducted individual, semi-structured interviews with NH residents. Interview transcripts were analyzed using conventional content analysis.
Twenty-six residents were interviewed. Four themes emerged: (1) perceived benefits and risks to antibiotics; (2) information needs regarding antibiotic treatment; (3) approaches to address information needs; and (4) resident involvement in antibiotic treatment decisions. The perceived benefits of antibiotics were described as symptom-relief and cure; risks included gastrointestinal symptoms and antibiotic resistance. Informational needs included the indication for antibiotics, risks and side-effects of antibiotics, and potential interactions between antibiotic treatments and medication regimens. Residents performed information seeking behaviors to address informational needs but described difficulty obtaining and recalling desired information. Diverse involvement in antibiotic treatment decisions were described, in which a subset of participants reported seeking antibiotics from their prescriber.
Future efforts aiming to improve collaborative decision making and antibiotic use in the NH setting should address the unmet information needs of NH residents regarding their antibiotic treatment plans.
抗生素在养老院（NH）环境中被广泛使用。但对于 NH 居民对使用抗生素的看法和体验，我们知之甚少。
这是一项定性描述性研究。我们对 NH 居民进行了个人、半结构化访谈。使用常规内容分析对访谈记录进行分析。
共访谈了 26 名居民。出现了四个主题：（1）对抗生素的感知益处和风险；（2）对抗生素治疗的信息需求；（3）解决信息需求的方法；以及（4）居民参与抗生素治疗决策。对抗生素的感知益处包括缓解症状和治愈；风险包括胃肠道症状和抗生素耐药性。信息需求包括抗生素的适应症、抗生素的风险和副作用，以及抗生素治疗与药物治疗方案之间的潜在相互作用。居民会采取信息搜索行为来满足信息需求，但他们描述了获取和回忆所需信息的困难。居民对抗生素治疗决策的参与度各不相同，其中一部分参与者表示会向他们的医生索取抗生素。
未来旨在改善 NH 环境中协作决策和抗生素使用的努力，应解决 NH 居民对其抗生素治疗计划的未满足信息需求。
